Samantha Marie Jacobs in Sebastopol - Physical Therapist
Samantha Marie Jacobs - NPI 1306988712
Samantha Marie Jacobs is a Physical Therapist in Sebastopol, California. Samantha Marie Jacobs practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Samantha Marie Jacobs is 1306988712. The last update date is 2007-10-19.
Samantha Marie Jacobs's current location address is 100 Pleasant Hill Ave N, Sebastopol, California. You can contact this provider via phone number 7078293282 and fax number 7078293287. The mailing address for Samantha Marie Jacobs is 100 Pleasant Hill Ave N, Sebastopol, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Marie Jacobs |
|---|---|
| Address | 100 Pleasant Hill Ave N, Sebastopol, California |
| Phone Number | 7078293282 |
| Fax Number | 7078293287 |
| Sole Proprietor | Y |
| Credentials | M.S.P.T. |
NPI Number Detail
| NPI Number | 1306988712 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
| Address | 100 Pleasant Hill Ave N |
|---|---|
| City | Sebastopol |
| State | California (CA) |
| Post Code | 954723104 |
| Phone Number | 7078293282 |
| Fax Number | 7078293287 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT28295 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ076098 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the Samantha Marie Jacobs's unique identification number?
The Samantha Marie Jacobs has been assigned the NPI (National Provider Identifier) Number 1306988712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Samantha Marie Jacobs is located?
The Samantha Marie Jacobs is situated at the following address: 100 Pleasant Hill Ave N, Sebastopol, CA, 954723104.
What is Samantha Marie Jacobs's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Samantha Marie Jacobs is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Samantha Marie Jacobs receive the assignment of its 1306988712 from the Centers for Medicare & Medicaid Services?
The Samantha Marie Jacobs was issued its 1306988712 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details related to Samantha Marie Jacobs most recently updated or revised?
The information pertaining to Samantha Marie Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-19.